Abbreviations |
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xiii | |
Contributors |
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xvii | |
Section 1 The worldwide status of palliative care |
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1.1 International progress in the development of palliative medicine |
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3 | (10) |
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1.2 Essential medicines for palliative care |
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13 | (6) |
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19 | (7) |
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1.4 Policy in palliative care |
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26 | (9) |
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Section 2 The challenge of palliative medicine |
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2.1 Building definitional consensus in palliative care |
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35 | (9) |
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2.2 Core concepts in palliative care |
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44 | (11) |
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2.3 The epidemiology of death and symptoms: planning for population-based palliative care |
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55 | (14) |
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2.4 Barriers to the delivery of palliative care |
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69 | (7) |
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2.5 Ethnic and cultural aspects of palliative and end of life care |
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76 | (17) |
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2.6 Health economics for palliative care |
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93 | (10) |
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Section 3 Service delivery issues in palliative care |
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3.1 Specialist palliative care along the trajectory of illness: issues in the early integration of palliative care |
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103 | (8) |
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3.2 Palliative care delivery models |
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111 | (10) |
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3.3 Palliative medicine in the intensive care unit |
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121 | (12) |
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3.4 Palliative care in the emergency department |
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133 | (10) |
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3.5 Palliative care in the nursing home |
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143 | (16) |
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Section 4 Healthcare professionals in palliative care |
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4.1 The core team and the extended team |
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159 | (7) |
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4.2 Burnout, compassion fatigue, and moral distress in palliative care |
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166 | (15) |
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4.3 Nursing education in palliative care |
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181 | (10) |
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4.4 Social work in palliative care |
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191 | (7) |
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4.5 The role of the chaplain in palliative care |
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198 | (8) |
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4.6 Occupational therapy in palliative care |
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206 | (7) |
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Maria Denise Pessou Silva |
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4.7 The role of the creative arts in palliative care |
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213 | (6) |
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4.8 The role of the dietitian in palliative care |
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219 | (6) |
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4.9 Physiotherapy in palliative care |
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225 | (6) |
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4.10 Speech and language therapy in palliative care |
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231 | (10) |
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4.11 Clinical psychology in palliative care |
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241 | (7) |
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4.12 The contribution of the clinical pharmacist in palliative care |
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248 | (7) |
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4.13 Medical rehabilitation and the palliative care patient |
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255 | (12) |
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Section 5 Communication and palliative medicine |
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5.1 Communication with the patient and family |
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267 | (10) |
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5.2 Practical considerations including difficult conversations |
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277 | (9) |
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5.3 Advance care planning |
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286 | (9) |
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Section 6 Family and caregiver issues |
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6.1 Family dynamics in the context of serious illness |
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295 | (8) |
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6.2 Caregiver burden and distress |
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303 | (10) |
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Section 7 Pain |
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7.1 Definition and assessment of chronic pain in advanced disease |
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313 | (8) |
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7.2 Pathophysiology of pain in cancer and other terminal illnesses |
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321 | (12) |
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7.3 Acute cancer pain syndromes |
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333 | (12) |
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7.4 Chronic cancer pain syndromes |
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345 | (19) |
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7.5 Principles of drug therapy |
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364 | (8) |
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7.6 Opioid therapy: optimizing analgesic outcomes |
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372 | (44) |
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7.7 Opioid therapy: managing risks of abuse, addiction, and diversion |
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416 | (8) |
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7.8 Non-opioid analgesics |
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424 | (9) |
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7.9 Adjuvant analgesics: principles of use |
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433 | (10) |
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7.10 Interventional approaches for chronic pain |
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443 | (11) |
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7.11 Neurostimulation in pain management |
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454 | (7) |
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7.12 Behavioural and psychosocial interventions for pain management |
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461 | (10) |
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7.13 Integrative medicine therapies in pain management |
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471 | (7) |
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7.14 Management issues in bone pain |
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478 | (7) |
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7.15 Management issues in neuropathic pain |
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485 | (6) |
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7.16 Management issues in visceral pain |
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491 | (8) |
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7.17 Management issues in chronic pain following cancer therapy |
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499 | (7) |
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7.18 Paediatric pain control |
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506 | (19) |
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Section 8 Gastrointestinal symptoms and disorders |
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8.1 Dysphagia, dyspepsia, and hiccups |
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525 | (9) |
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534 | (11) |
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8.3 Constipation and diarrhoea |
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545 | (11) |
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8.4 Jaundice, ascites, and encephalopathy |
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556 | (11) |
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8.5 Aetiology, classification, assessment, and treatment of the anorexia-cachexia syndrome |
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567 | (12) |
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579 | (10) |
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Section 9 Cardiorespiratory symptoms and disorders |
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9.1 Breathlessness and other respiratory symptoms in palliative care |
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589 | (15) |
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9.2 Cough and other pulmonary symptoms |
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604 | (9) |
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Section 10 Skin and oral symptoms and disorders |
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10.1 Skin problems in palliative care |
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613 | (9) |
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10.2 Palliative wound and ostomy care |
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622 | (26) |
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10.3 Lymphoedema and oedema of advanced disease |
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648 | (8) |
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656 | (17) |
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Section 11 Genitourinary symptoms and disorders |
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11.1 Dysuria, frequency, and bladder spasm |
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673 | (4) |
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11.2 Obstructive urinary disorders |
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677 | (8) |
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Section 12 Constitutional symptoms and related disorders |
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685 | (13) |
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12.2 Sexuality in palliative care: discussing patient sexuality and intimacy in palliative care |
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698 | (10) |
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708 | (9) |
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12.4 Assessment and management of thrombotic complications |
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717 | (10) |
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12.5 Assessment and management of bleeding complications in the medically ill |
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727 | (12) |
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Section 13 Psychiatric and psychological symptoms and disorders |
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13.1 Coping and resilience in palliative medicine |
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739 | (8) |
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13.2 Depression, demoralization, and suicidality |
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747 | (9) |
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13.3 Fear, anxiety, and adjustment disorder in palliative care |
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756 | (8) |
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764 | (9) |
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773 | (14) |
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Section 14 Palliative care in cancer |
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14.1 The oncologist's role in delivering palliative care |
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787 | (13) |
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14.2 Disease-modifying therapies in advanced cancer: medical treatment |
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800 | (8) |
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14.3 Radiotherapy in symptom management |
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808 | (21) |
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14.4 The role of general surgery in the palliative care of patients with cancer |
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829 | (10) |
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14.5 Orthopaedic surgery in the palliation of cancer |
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839 | (10) |
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14.6 Integrative oncology in palliative medicine |
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849 | (12) |
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14.7 Interventional radiology in the palliation of cancer |
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861 | (11) |
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14.8 Neurological problems in advanced cancer |
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872 | (18) |
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14.9 Endocrine and metabolic complications of advanced cancer |
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890 | (14) |
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14.10 Malignant bowel obstruction |
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904 | (14) |
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14.11 Palliative care issues in head and neck cancers |
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918 | (9) |
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14.12 Palliative care issues in populations with haematological malignancies |
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927 | (10) |
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14.13 Anaemia, cytopenias, and thrombosis in palliative medicine |
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937 | (12) |
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Section 15 Issues in populations with non-cancer illnesses |
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949 | (15) |
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15.2 Advanced diseases of the lung |
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964 | (12) |
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15.3 Advanced heart disease |
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976 | (11) |
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987 | (9) |
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15.5 Neurological disorders other than dementia |
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996 | (8) |
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15.6 Palliative care and end-stage liver disease |
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1004 | (6) |
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15.7 End-stage kidney disease |
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1010 | (10) |
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15.8 Palliative care in catastrophic disasters and humanitarian crises |
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1020 | (9) |
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Section 16 Issues of the very young and the very old |
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16.1 Involving children and families when someone important is dying or has died |
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1029 | (6) |
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16.2 Care of children with advanced illness |
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1035 | (11) |
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16.3 Palliative medicine and care of the elderly |
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1046 | (17) |
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Section 17 Spiritual issues in palliative medicine |
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17.1 Spiritual issues in palliative medicine |
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1063 | (9) |
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17.2 Integration of spiritual care into palliative care service delivery models |
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1072 | (11) |
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Section 18 The terminal phase |
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18.1 Predicting survival in patients with advanced disease |
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1083 | (11) |
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1094 | (10) |
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18.3 Management of the actively dying patient |
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1104 | (17) |
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Section 19 Ethical issues |
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19.1 Practical bioethics in the care of patients with advanced illness |
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1121 | (11) |
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19.2 Requests for futile or inappropriate interventions near the end of life |
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1132 | (7) |
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19.3 Autonomy and shared decision-making in a multicultural world |
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1139 | (8) |
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19.4 Truth telling and consent |
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1147 | (8) |
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19.5 Ethics in paediatric palliative care |
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1155 | (6) |
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19.6 Ethical issues in physician aid-in-dying |
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1161 | (9) |
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19.7 Withholding and withdrawing life-sustaining treatment (including artificial nutrition and hydration) |
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1170 | (10) |
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19.8 Medical and ethical considerations in palliative sedation at the end of life |
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1180 | (11) |
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Section 20 Assessment tools and informatics |
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20.1 Palliative care needs assessment tools |
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1191 | (18) |
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20.2 Informatics and literature search |
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1209 | (7) |
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20.3 Validated assessment tools for psychological, spiritual, and family issues |
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1216 | (17) |
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Section 21 Teaching and training in palliative medicine |
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1233 | (9) |
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1242 | (10) |
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21.3 Teaching and training in palliative social work, chaplaincy, and pharmacy |
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1252 | (9) |
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Section 22 Research in palliative medicine |
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22.1 Research in palliative care |
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1261 | (7) |
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22.2 The principles of evidence-based medicine |
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1268 | (11) |
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22.3 Understanding clinical trials in palliative care research |
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1279 | (10) |
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22.4 Qualitative research |
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1289 | (6) |
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22.5 Research into psychosocial issues |
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1295 | (17) |
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22.6 Ethical issues in palliative care research |
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1312 | (6) |
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22.7 Quality of life and patient-reported outcome measures |
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1318 | (10) |
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22.8 Health services research in palliative and end of life care |
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1328 | (7) |
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22.9 Clinical audit, quality improvement, and safety in palliative medicine |
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1335 | (16) |
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Index |
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1351 | |